Megan E. Toothaker, R.N.

pillowfistsΤεχνίτη Νοημοσύνη και Ρομποτική

13 Νοε 2013 (πριν από 3 χρόνια και 11 μήνες)

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Megan E. Toothaker, R.N.

1.
Describe Robotics in Healthcare

2.
Describe and evaluate the hardware and
software utilized with Robotics.

3.
Describe and evaluate the information
system used with Robotics.

4.
Assess the role and functions of the nurse
informaticist when working with Robotics.

5.
Examine related legal/ethical issues.

6.
Discuss the Advantages/Disadvantages
from nursing perspective.



Preceded by laparoscopic surgery


First laparoscopic surgery in 1987


Robotics new aged surgical wave


Self
-
powered computer controlled device


(Burke & Waill, 2009)

(Gomez, 2004)


Controlled by
software and
surgeon


Visualize through
video devices


Laprotex


(Purdue University, 2006)


Manufactured by Integrated Surgical Systems


First hip replacement in 1992 using
ROBODOC


Outcome: no intraoperative fractures


(Burke & Waill,
2009)


Ergonomically designed
surgeon's console



Patient side cart with four
interactive arms



EndoWrist®
instrumentation

(Intuitive Surgical INC,
2005)


Provide Surgeon with natural dexterity



Intuitive motion and finger tip control



Motion scaling and tremor reduction



Enable better outcomes when
operating in confined spaces


3D HD Vision InSite



EndoWrist® Interface





Motion scaling and tremor reduction



Real time movements



Recognize the type, function and
number of uses of instruments


What is usability?



Surveys of actual users




Summary of usability


Three different kinds of robotic surgery
systems



Supervisory
-
controlled system



Telesurgical system



Shared
-
control system


Special Purpose Information System



Workstation configuration



Data Standards



Recommendation to Others


Decreased pain and scaring



Decreased hospital stay



Decreased risk for infection or complications



Better images than in real life




Increased accessibility for surgeons



Less fatigue experienced by surgeon



Cost of equipment



Expensive Training



Saftey


Who to blame for mistakes?



Affective human
-
robot interfaces



Affective human
-
robot interaction



User level Competencies




Consultant



Educator







Robotic Surgery: The Future is Now!


Bonsor, K. & Strickland, J. (2008, July) How will
robotic surgery work. How stuff works
retrieved October 28
th
, 2009, from
h
ttp://ethicbots.na.infn.it/meetings/firstwork
shop/abstracts/salvini.htm


Burke, L. & Waill, B. (2009). Information
Technology for the Health Professions (3
rd

ed.) Prentice Hall.



Dario, P., Laschi, C. & Salrino, P. ( 2006,
October). Ethics of human interaction with
robotic, bionic, and al systems. Ethicbots
workshop. Retrieved November 18
th
, 2009,
from
http://ethicbots.na.infn.it/meetings/firstwork
shop/abstracts/salvini.htm


Ethics of robotic surgery: Social issues of
robotic surgery (2009). Retrieved November
18
th
, 2009, from
http://cse.stanford.edu/class/sophomore
-
college/projects
-
99/computational
-
biology/robo.html



Gomez, G. (2004). Emerging Technology in
surgery: informatics, electronics, robotics.
Sabiston Textbook of Surgery (17th ed.)
Philadelphia, Pa.


ICT Results (2009, September). Healthcare: The
Road To Robotic Helpers.
ScienceDaily
.
Retrieved September 18, 2009, from
http://www.sciencedaily.com

/releases/2009/08/090807091200.htm



In the future: Robotic surgery (2009). Retrieved
November 18
th
, 2009, from
http://library.thinkquest.org/03oct/00760/F
uture%20of%20Robotic%20Surgery.htm


Intutive Surgical INC (2005). Intuitive surgical.
Retrieved October 5, 2009, from
http://www.intuitivesurgical.com/clinical/clin
icalvalidation/index.aspx




Mastrian, K., & McGonigle, D. (2009). Nursing
informatics and the foundation of knowledge.
Sunbary, MA, Jones & Bartlett Publishers.


Purdue University (2006, March). Lower
Cost, Portable Surgical Robots Could Be
Smooth. Purdue University. Retrieved
September 18, 2009, from
http://www.purdue.edu/UNS/html4ever/200
6/060302.Peine.robots.html